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Health Spending and the States Some Background Facts
Louise Sheiner Hutchins Center on Fiscal and Monetary Policy The Brookings Institution
Health spending (mostly Medicaid) large share of budgets
Census Bureau, Author’s Calculations
Health Spending and the States Some Background Facts Louise Sheiner - - PowerPoint PPT Presentation
Health Spending and the States Some Background Facts Louise Sheiner - - PowerPoint PPT Presentation
Health Spending and the States Some Background Facts Louise Sheiner Hutchins Center on Fiscal and Monetary Policy The Brookings Institution Health spending (mostly Medicaid) large share of budgets C ensus Bureau, Authors Calculations
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SLIDE 3
Medicaid is an important source of health coverage for the population
0% 5% 10% 15% 20% 25% 1987 1991 1995 1999 2003 2007 2011 2015
Medicaid Enrollment Share of US Population
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Source:: KFF Henry J Kaiser Family Foundation
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Source:: Georgetown University Health Policy Institute
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Medicaid spending growth lower than private, Medicare
0.5 1 1.5 2 2.5 3 3.5 4 1987 1991 1995 1999 2003 2007 2011 2015
Increase in Real Per Enrollee Spending Since 1987
Private health insurance Medicare Medicaid
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Some long-term pressure from aging
Source: CMS
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Issues Facing States
Near-term
- Status of ACA, Medicaid Expansion
- Medicaid waivers: Allow states to impose premiums, impose
work requirements
- State regulation of insurance markets?
- Opioid epidemic
Longer-term:
- Possibility of block grants – fixed or per capita caps
- Budget pressure from continued cost growth, aging, pension
- bligations